Executive Office of Elder Affairs RESPECT INDEPENDENCE INCLUSION

Executive Office of Elder Affairs RESPECT INDEPENDENCE INCLUSION EOEA ASAP Program Manager and Nurse Manager Conference Call Tuesday, August 11, 2020 from 3: 00 – 4: 30 PM

EOEA ASAP Program Manager and Nurse Manager EOEA ASAP Program Manager and Conference Call Nurse Manager Conference Call Tuesday, August 11, 2020 from 3: 00 – 4: 30 PM ** Conference Call will begin at 3: 15 pm ** Please mute your phone or computer audio *If calling in by phone, turn off audio from Webex AND turn off computer audio/volume

Welcome & Attendance 3

AGENDA Welcome & Attendance PM/NM Meeting Schedule – changes for September Update Elder Affairs Email Addresses Stop the Spread Update Transitional Plan/ Home Visits Care Enrollment Termination Reasons • Phase 4 & 5 changes • Network feedback • ADH Updates • Mass. Health Nursing Facility Sanctions • Falls Prevention Awareness Week – September • • • 4

Upcoming PM/NM Meeting Schedule • Tuesday, August 25, 2020 – 3 pm to 4: 30 pm **Shifting weeks in September due to Labor Day** • Tuesday, September 15, 2020 – 3 pm to 4: 30 pm • Tuesday, September 29, 2020 – 3 pm to 4: 30 pm 5

Elder Affairs E-mail Addresses • Effective July 29, 2020 employees of EOHHS had their email addresses update to the extension “@mass. gov” • Will still receive emails sent using “@massmail. state. ma. us” & “@state. ma. us” • Encouraged to update Elder Affairs email addresses in your saved contact list • Emails with PHI still must be sent thru the Commonwealth’s Secure email system: https: //ppsecuremail. state. ma. us/encrypt 6

Updated Elder Affairs E-mail Contact List Desiree Kelley – Clinical Nurse Manager desiree. kelley@mass. gov Melissa Enos – Home Care & Program Analytics Nurse melissa. a. enos@mass. gov Devon Garon – Assistant Director of Home & Community Programs devon. garon@mass. gov Lynn Vidler – Director of Home & Community Programs lynn. vidler@mass. gov 7

Updated Elder Affairs E-mail Contact List Brian Glennon – Home Care / Waiver Program Manager brian. m. glennon@mass. gov Richard Sanon – Budget & Waiver Analyst richard. sanon 2@mass. gov Shannon Philbrick – Home Care Program Coordinator shannon. philbrick@mass. gov Brenda Correia – Coordinator for Elder Community Support Programs brenda. correia@mass. gov Critical Incident Reports EOEAHome. Care. Unit@mass. gov 8

Stop the Spread • https: //www. mass. gov/info-details/stop-the-spread Available in 17 Communities: – • • Agawam, Brockton, Chelsea, Everett, Fall River, Lawrence, Lowell, Lynn, Marlborough, Methuen, New Bedford, Randolph, Revere, Springfield, Taunton, & Worcester Supports testing of asymptomatic individuals in these communities to help stop the spread of COVID-19 Provided at no cost Testing availability extended to September 12 th Testing at these sites is not restricted to residents of the listed communities 9

EOEA Transitional Plan – In Person Visits • Elder Affairs has been working on a transitional plan for in-person visits • Released to the network 8/6/2020 • Guidance applicable across all EOEA Programs • Programmatic Considerations & Interim Actions are still in effect – Assess each consumer’s situation & determine if an in-person visit is appropriate 10

Care Enrollment Termination Reasons • Using a phased approach review/revise Termination Status Reasons • July 1, 2020 – Phase 1 & Phase 2 completed • August 1, 2020 – Phase 3 completed • Phase 4 & 5 modified/updated 11

Care Enrollment Termination Reasons • Phase 4 – September 1, 2020 – Deactivate: – Non-Payment of Cost Sharing Fee – FCSP Death of Care Recipient – Confirming with MFCSP that they do not use this reason – Add: – Consumer Declined HC Services – Moved Out of State – Moved From Service Area Care Not Needed – Moved to Group Home – Title III C Enrolled 12

Care Enrollment Termination Reasons • Phase 5 – Tentatively Oct 1, 2020 – CSSM Termination Reasons & Business Rule Revision – Add: – Change in Medical Setting (CSSM only) – Community Partner Discharge (CSSM only) – Consumer Declined CSSM – Dependent on outcome of NM meeting – Rehab/Nursing Facility Stay* – Re-define: – Long Term Placement* – Discharge to Community (CSSM only) – Deactivate: – Nursing Facility Placement – Moved From Service Area – Client Refused – Finalize crosswalk 13

Discussion • Long Term Placement: – [HC & CSSM] Placement in a nursing facility and no longer working towards discharge to a community setting • Rehab/Nursing Facility Stay: – Consumer is in a Rehab/Nursing Facility beyond 90 days and efforts for discharge planning have not yielded a discharge date. Refer to CSSM/Options Counseling for tracking 14

Mass. Health Nursing Facility Sanctions • Mass. Health has sanctioned 3 nursing facilities: NFs notified on Monday, August 3, 2020 • NFs have 30 days to respond • MH members & authorized representatives will be notified by mail • Notices mailed on 8/4/2020 • 3 Nursing Facilities sanctioned are: – Hermitage Healthcare – Worcester • Elder Services of Worcester Area – Town & Country Healthcare – Lowell • Elder Services of Merrimack Valley & North Shore – Wareham Health Care – Wareham • Old Colony Elder Services 15

Mass. Health Nursing Facility Sanctions • No ASAP action is currently required – however ASAPs may begin to see transfer screening requests & requests for assistance with discharge planning • Please track requests for transfer screenings – Mass. Health may request this information at a later date https: //www. mass. gov/news/masshealth-issues-initial-terminationnotices-to-three-nursing-homes 16

ADH Updates • Phase 3 of Re-Opening Massachusetts allows for reopening of day programs – Effective July 6, 2020 • EOHHS Guidance – Issued 7/2/2020 – Day Programming Guidance • https: //www. mass. gov/doc/phase-3 -eohhs-day-programmingguidance – Return to Day Program Risk/Benefit Tool • https: //www. mass. gov/doc/return-to-day-program-riskbenefitdiscussion-tool – Day Programming Planning & Preparation Checklist • https: //www. mass. gov/doc/phase-3 -eohhs-day-programmingplanning-preparation-checklist – Day Programming Transportation Planning Checklist • https: //www. mass. gov/doc/phase-3 -eohhs-day-programmingtransportation-planning-checklist 17

ADH Updates • Elder Affairs will share ADH Bulletins & Rate Regulations with ASAPs as the information becomes available • ADH will receive a rate increase as of August • Ability for members to attend: – in-person and/or – remotely • Remote ADH engagements limited to 3 x/week 18

ADH Updates • OLTSS updating Elder Affairs on the status of ADH re-openings every Wednesday • As of 8/5/2020: • 59 ADHs have sent attestations to OLTSS • 45 ADHs open as of 8/5/2020 • 14 ADHs plan to open by the end of August • OLTSS tracking closures of ADH Programs • As of 8/5/2020: • 3 ADHs have closed • 1 ADH are slated to close in September • 3 ADHs are slated to close in October 19

Falls Prevention Awareness 2020 • Falls Prevention Awareness Week – – – • September 21 st to September 25 th Virtual & social media events in place of annual State House event Additional details to follow 2. 5 Million Steps to Prevent Falls Returns! – Count your steps! Let's raise awareness by walking in the name of falls prevention • • • September 2020 1 mile = approx. 2, 500 steps Share your photos & comments on Twitter #MASteps 2 Prevent. Falls 20

800 Age. Info https: //documentlibrary. 800 ageinfo. com/ 21